JAMIE YOUNG (NPI# 1982909438) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982909438 |
| Entity Type | Individual |
| Full Name | JAMIE YOUNG |
| Credential | PSYD |
| Practice Address |
1210 Se Oak St Portland OR 97214 |
| Mailing Address |
1210 Se Oak St Portland OR 97214-1427 |
| Practice Telephone | 9712712595 |
| Mailing Telephone | 9712712595 |
| Enumeration Date | 2011-01-13 |
| Last Update Date | 2018-06-24 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | 2436 | OR | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184113342 | Jamie Townsend Young | Physical Medicine & Rehabilitation | 1275 Shiloh Rd Nw Ste 2031, Kennesaw, GA 30144-7199 | 2018-05-03 |
| 1295157741 | Jamie Young | Marriage & Family Therapist | 505 Larkpur Ave, Corona Del Mar, CA 92625 | 2014-01-16 |
| 1548517287 | Jamie Lynn Young | Psychologist | 11665 Avena Pl Ste 204, San Diego, CA 92128-2428 | 2012-08-13 |
| 1770751901 | Jamie Jo Young | Chiropractor | 414 W Miller St, De Soto, MO 63020-1910 | 2008-02-11 |
| 1831378835 | Jamie Michelle Young | Chiropractor | 3729 S Nova Rd, Port Orange, FL 32129-4233 | 2007-10-26 |
| 1982727871 | Jamie J Young | Music Therapist | 311 Broadway St, Concord, NE 68728-2841 | 2007-04-07 |
| 1578586335 | Jamie Elle Young | Counselor | 185 S White Chapel Blvd, Southlake, TX 76092-7308 | 2006-07-25 |
| 1427092659 | Jamie Young | Internal Medicine | 560 Malcolm Blvd., Rutherford College, NC 28671 | 2006-06-16 |
| 1063056398 | Jamie Young | Behavior Technician | 7390 W Sahara Ave, Suite 260, Las Vegas, NV 89117 | 2019-10-30 |
| 1265999007 | Jamie S Young | Nurse Practitioner | 3344 N Futrall Dr, Fayetteville, AR 72703-4057 | 2019-02-28 |
| Street Address |
1210 SE OAK ST |
| City | PORTLAND |
| State | OR |
| Zip Code | 97214 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437131646 | Charles Way Harrison | Psychologist | 1210 Se Oak St, Portland, OR 97214-1427 | 2005-11-15 |
| 1093078677 | David Michael Martin | Counselor | 1210 Se Oak St, Suite 3, Portland, OR 97214-1427 | 2012-06-19 |
| 1215299565 | Lisa Marie Koralewicz | Social Worker | 1210 Se Oak St, Portland, OR 97214-1427 | 2012-06-12 |
| 1326322702 | Aziz Gazipura | Psychologist | 1210 Se Oak St, Suite 1, Portland, OR 97214-1427 | 2011-10-04 |
| 1215258496 | Kerry Lee Powers | Counselor | 1210 Se Oak St, Suite 5, Portland, OR 97214-1427 | 2010-06-22 |
| 1194966523 | Serena Barton | Counselor | 1210 Se Oak St, Portland, OR 97214-1427 | 2009-03-15 |
| 1558513846 | Diane Havnen-smith | Social Worker | 1210 Se Oak St, Portland, OR 97214-1427 | 2008-10-17 |
| 1619123148 | Tracey Hoffman | Psychologist | 1210 Se Oak St, Portland, OR 97214-1427 | 2008-08-15 |
| 1568627875 | Christina Lynn Zimmerman | Counselor | 1210 Se Oak St, Portland, OR 97214-1427 | 2008-07-25 |
| 1104099464 | Dr Tracey Hoffman & Associates PC | Psychologist | 1210 Se Oak St, Portland, OR 97214 | 2008-04-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538773155 | Mamie Nzigire Zagabe | Peer Specialist | 605 Se Cesar Estrada Chavez Blvd, Portland, OR 97214 | 2020-09-01 |
| 1336772243 | Alexandra Mcbryde | Acupuncturist | 959 Se Division St, #315, Portland, OR 97214 | 2020-02-19 |
| 1356973770 | Laura Kille | Counselor | Wise Counsel and Comfort, 2045 Se Hawthorne Blvd., Portland, OR 97214 | 2020-02-05 |
| 1639616436 | Erin Elizabeth Weaver | Acupuncturist | 1330 Se Cesar E Chavez Blvd. Center for Natural Meidici, Portland, OR 97214 | 2017-01-31 |
| 1780126045 | Katherine Aravamudan, Lpc, LLC | Community/Behavioral Health | 1312 E. Burnside Street, Portland, OR 97214 | 2016-11-17 |
| 1003358441 | Michelle Jean Meadows | Massage Therapist | 2804 Se Lincoln St, Portland, OR 97214 | 2016-11-16 |
| 1629429311 | Stephanie Tolentino | Counselor | 605 Se Cesar E Chavez Blvd., Portland, OR 97214 | 2016-06-24 |
| 1790141166 | Marian Iris Dixon | Massage Therapist | 3810 Se Belmont St., Earthbody Wellness Center East, Portland, OR 97214 | 2016-01-14 |
| 1194194589 | Lutheran Community Services Northwest | Community/Behavioral Health | 605 Se Cesar E Chavez Bld, Portland, OR 97214 | 2015-09-16 |
| 1497123566 | Michele R. Stokes | Specialist | 2311 East Burnside B1, Portland, OR 97214 | 2015-09-08 |
| Find all providers in zip 97214 | ||||
| Taxonomy Code | 103T00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public. |
| Notes: Source: American Psychological Association [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508466574 | Jessica Michelle Simonetti | Psychologist | Portland Psychotherapy Clinic, Research and Training Ce, 3700 N Williams Ave, Portland, OR 97227 | 2020-10-29 |
| 1811518434 | Nathaniel Israel | Psychologist | 7419 Se Woodstock Blvd, Portland, OR 97206-5838 | 2020-05-05 |
| 1477112480 | Stella Beatriz Kerl-mcclain | Psychologist | 2826 Sw Ridge Dr, Portland, OR 97219-6205 | 2019-06-12 |
| 1184281438 | Nicholas Alexander Schollars | Psychologist | 3050 Se Division St # 215, Portland, OR 97202-1451 | 2019-05-22 |
| 1639637432 | Bayside Psychology and Consulting, LLC | Psychologist | 1 Union St Ste 402, Portland, ME 04101-4048 | 2019-03-11 |
| 1942766985 | Alexandra R. Lash | Psychologist | 386 Fore St, Portland, ME 04101-4047 | 2019-02-14 |
| 1811416068 | Matthew Lundeberg | Psychologist | 10300 Sw Greenburg Rd Ste 271, Portland, OR 97223-5415 | 2017-09-19 |
| 1083130991 | Tawayne Nolen Malone Jr. | Psychologist | 0615 Sw Palatine Hill Road, Tawayne Malone - Msc 2159, Portland, OR 97219 | 2017-08-22 |
| 1093241838 | Dr Patricia Clark | Psychologist | 1132 Sw 19th Ave, Portland, OR 97205-1740 | 2017-05-11 |
| 1639527575 | Randall David Wright | Psychologist | 1827 Ne 44th Ave Ste 320, Portland, OR 97213-1443 | 2016-06-01 |
| Find all providers in PORTLAND | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.